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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />?~9/7ZV' JD <br /><pRY <br /> <br />OWNER' S NAHlL-H A eo \n <br />OWNER.' S ADDRESS 5 Co 3 q <br />~> <br />JOB ADDRESS ' ~ (\.)~ <br />LEGAL DESCRIPTION: LOT(S)~BLOCK SUBDIVISION ()A-~C ('" -t- <br />PARCEL I.D.t O~ - ~ Co - ~ \ -06 \0- 00300 - 0 \40 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />MOA-+-s <br />~ \'~ \<. <br /> <br />WORK PROPOSED:~w Construction _Addition _Alteration _Repair _Install <br /> _Sign --.Move _Deaolish <br />PROPOSED USE: ~e Faaily ---1t1 F _' of Units --.MIH <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ~e L0 ~~Si'De {\jQe <br /> <br />BUILDING SIZE:~. ('Cia ~ Square Feet, 2!5 ( Height <br /> <br />RESIDENTIAL: A1TACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: A1TACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />L-BUILDING <br /> <br />PERMITS REOUESTED <br />$ ~ S. bo 0 Valuation of Total Construction <br />"' <br /> <br />:!)a0 AKP Service ~lorida Power Corp. <br />$ ~ Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELEC'l'RICAL <br />---.JfECllANICAL <br /> <br />-PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: J.LBloclt _Fraae _Steel Other <br />nrnSHED FLOOR ELEVAnONS: %5 FT. . IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />.k <br />NO <br /> <br />CONTRACTOR SECTIO~ <br /> <br />BUTTJ>ER ~ COIIPAIIY ~ '1'r\'J~"" Co,v ik ,,"ell . to <br />-, \ ~ State Cert. or Regist. # ~-0:35134 <br />Signat~~ City License Registration # ~~ <br />****************************************** <br /> <br />/ <br /> <br />ELECTRIC~-"..____ COMPANY M~-\-j'0 E.\e~~f~ <br />:-< · ~ U State Cort. or Regist. 'U-COI3.449 <br />SismAture J->V'-c::......- \ .\..... City License Registration' s:-rn- 97 <br />****************************************** <br /> <br />/..~. <br />i// <br /> <br />\, <br />j <br />PLUMBER / i <br />/. / <br />.f ,- <br />1'/ -- <, <br />Signature~ Z.-c~ <br /> <br />COMPANY DC'N I\J r.s W'f 11 ( I\-m S <br /> <br />/ J /JL' <!. State Cort. or Regist.' RE -D5~ 0 <br />t.:u c.t:$.:- . b 'J / City License Registration' /9 0 <br />****************************************** <br /> <br />~- <br /> <br />HECHAHTCAL <br />Signature ;'.\Cv- ) 7 <br /> <br />OTHER 4 COMP~~~mftl\J CONS\-e~C\-IOI'.J <br />. "L---- State Cert. or Regist. II ~C:- C?OCok:A8 <br />Signature :jJ:....u..> ........... <::-- City License Registration # 5 9-> <br />. **************************************** <br /> <br /> <br />v/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />